HomeMy WebLinkAboutPermit Mechanical 2004-8-20
. CITY OF ~rKlNuJ<U.LlJ
Building/Combination Permit
PERMIT NO: COM2004-01037
ISSUED: 08/2012004
APPLIED: 08/20/2004
EXPIRES: 02/20/2005
VALUE:
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Status
Issued
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225 Fifth Street, Springfield, OR
541-726-J753 Phone
541-726-J676 Fax
54I-726-J769 Inspection Line
SITE ADDRESS: 5984 LILAC LN
ASSESSOR'S PARCEL NO.: 1802032303600
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
PROJECT DESCRIPTION: Replace heat pump and air handler
Owner: DEAN VESTA EVELYN
Addrcss: 5984 LILAC LN SPRINGFIELD OR 97478
Contractor Type
Mcchanil'al
I CONTRA('.v~ .NFORMATlON ,
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
# of Units: # of Stories:
Prim:ll")" Occupancy Group: R-3 Height of Structure
Secondary Occupancy Group: uiilil'Pf:orifeat:
Primary Construction TYWiON' Ore~ la'll rebreW<!!'~i'J'rYP'e:
Secondary Constr~ilii'TY&'1i ~dopted b~ the \es ~~eg~TYp-e!l
# of Bcd rooms: 10\\0'11 ~\ enter. ihose ru @~'JlY2rai6:'
Notilicat\On eo. -0010 through 'Sl!rinkl!J!l;BliJlding: n/a
.-..n Ql;?..O I _ __.....io.~ or ..I\~ ,.... _
\~090. '(ou rnay ~~~~:"tNCDEVELOPMEiiiiINFORMATlON ,
calling the ce Oregon u"'"'' .)
ber lor the 0 332-2344 .
Frontyanl Setback: "Urn center is ~,80 - Overlay Dist:
Side I Sl'lhack: # Street Trees Rqd:
Side 2 SClhack: Paved Drive Rqd:
Rear)'ard Setback: % of Lot Coverage:
Solar Set hacks:
Repair
Residential
Expiration Date
08/31/2004
Phone
541-683-2590
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm S('\\'cr Available:
Special Instruction:
I PUBLIC IMPROVEMI!lNl:S~1 RE IF TUE WORK
. ., T <:.HAll EXPI n
THIS PEHM\ SidewlilkTT);peDERMIT IS NOT
AUTHORIZEOtf,UNUttlcl :t'.I(D"'~r."cO FOR
CE own"" n s r.lUDS:.
COMMEN VI' ,~.., .-.
ANY 180 DAY PERIOD.
Notes:
I Valuation Descrintion ,
Dcscrinlinn
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Pal!elof2
i.
Value
Date Calculated
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. CITY OF ~r.Kll~ljl'l~LD
Building/Combination Permit
PERMIT NO: COM2004-01037
ISSUED: 08/20/2004
APPLIED: 08/20/2004
EXPIRES: 02/20/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-.1753 Phone
541-726-.1676 Fax
541-726-.1769 Inspcction Line
I Fees tlWU
Fee Dl'suilltion
-l\1crhalliral Issuance Fee-
+ 10(% ..\dministrativc Fee
+ 70;;, State Surcharge
Air Halldling Unit Up to 10,000
Hcat Pumll
Minimllm/Adjuslment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
Receipt Number
1200400000000001243
1200400000000001243
1200400000000001243
1200400000000001243
1200400000000001243
1200400000000001243
Total Amount Paid
$62.65
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will he made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Reouired Jnsnectiow
Rough Mechanical: Prior to Cover
Filial Mechanical: When all mechanical work is complete.
By sigllalllrc, I state and agree, that J have carefully examined the completed application and do hereby certify that all
informalion hcrcon is true and correct, and I further certify that any and all work performed shall be done in accordance with
thc Ordillanccs of thc City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
J furthcr rcrtify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
J further agrcc to cnsure that all required inspections are requested at the proper time, that each address is readable from the
street, Ihal the pcrmit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
"$~ ~
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y/e-v/ (>'/
Date
Owner or Contractors Signature
Page 2 of2
225 Fift h Street
Spril\glichi;Oregon 97477
541-726-3759 Phone
.
a~
Ilk.
JijJy of Springfield Official Receipt
.velopment Services Department
Publie Works Department
Job/Journal i'\umbcr
COM2004-0 1 037
COM2004-0 I 037
COM2004-0 1 037
COM2004-0 1 037.
COM2004-0 I 037
COM2004-0 I 037
Payments:
Type of Payment
Check
X/20/2004
RECEIPT #:
1200400000000001243
Date: 08/20/2004
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
ASSOCIATED HTG
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
11908
In Person
Payment Total:
Page I of I
1l:20:00AM
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
Amount Paid
$62.65
$62.65